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Mid-Ohio Valley Work Camp
Group Registration Summary Sheet
(Please print or type all information. Please fill in completely.)
Church Name
*
Address
*
City
*
State
*
Zip
*
Phone
Cell Phone
Group Leader
*
Participant Information
Total Youth
*
Total Adults
*
Total Workers
*
Housing Information
Total Females
Total Males
Payment Information
$85/Teen Registration
No.
x$85=
$60/teen when 2 or more from the same family
No.
x$60=
$25/adult registration
No.
x$25=
T-shirts
Small
Medium
Large
XLarge
XXLarge
XXXLarge
Total
*
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